Individual
MELISSA VANDERHOEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 W RYAN RD, OAK CREEK, WI 53154-4325
(414) 761-1692
Mailing address
8382 STONEGATE RD, WIND LAKE, WI 53185-1492
(414) 254-7158
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20186-40
WI
Other
Enumeration date
02/21/2020
Last updated
03/27/2020
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